31C-074 (2) 79 HIGGINS WAY SM-2019-0032
COMMONWEALTH OF MASSACHUSETTS
_ CITY OF NORTHAMPTON
GIS# ^ 12204 1
Map:-- j31C
'Block, 074 SHEETMETAL PERMIT
,Lot: -1 18
Permit: SHEETMETAL
Category: SHEETMETAL
(Permit# SM-2019-0032 -i
Project# JS-2019-000092 PERMISSION IS HEREBY GRANTED TO.
Est.Cost: $6,000.00 Contractor: License: Expires:
Fee Charged:1$25.00 —1RICHIES AIR CONDITIONING&HSheetmetal-531 03/28/2018
Balance Due:$.00�' Owner: KENT PECOY&SONS CONSTRUCTION INC
I#of Fixtures: Applicant.RICHIES AIR CONDITIONING&HEATING INC
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DgSae j
�_ ___—AT: 79 HIGGINS WAY
UseGroup
ConstClass 1—_--=—
ISSUED ON: 24-Jan-2019 AMENDED ON. EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
INSTALL HVAC SYSTEM
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Sheetmetal REC-2019-002201 21-Dec-18 18660 $25.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck@northamptonma.gov
GeoTMS®2019 Des Lauriers Municipal Solutions,Inc.
File#SM-2019-0032
APPLICANT/CONTACT PERSON RICHIES AIR CONDITIONING&HEATING INC
ADDRESS/PHONE P O BOX 407 (413)789-1244 Q
PROPERTY LOCATION 79 HIGGINS WAY
MAP 3 1 C PARCEL 074 18 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: INSTALL HVAC SYSTEM
New Construction
Non Structural interior renovations
Addition to Existing
Accesso1y Structure
Building Plans Included:
Owner/Statement or License 531
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF9RMATION PRESENTED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER: §
Intermediate Project: Site Plan AND/OR Special Permit with Site Plan
Major Project: Site Plan AND/OR Special Permit with Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
//Z-3
Signature of Building Official Date
Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
*Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact the Office of
Planning&Development for more information.
any
Commonwealth of Massachusetts
Date : �y ��g Permit# 5M g 3 L
DEC 21
Estimated Job Cost's cx� 2018 rmit Fee: $ 5� cc; ( ��
Plans Submitted: �ES NO NORTHAMPTON OF 13UILDING I pPEC els viewed: YES NO
Business License#'I a`�3 Applicant License # rn S 31
Business Information: Property Owner/Job Location Information:
Name: Name: G foy L SSS C1z$rXVQ UGC
Street: Street: 19 HICKY1-AS
Ci /Town: ta��e�m� mw. OicAt- 0401 Ci /Town: hMAXVN AMPNW MR
>3' City/Town: �
Telephone: 4Y3 moi- 1-144 Telephone: L413
Photo I.D.required/Copy of Photo I.D. attached: YES NO
Building Type:
Residential: 1�12 familyV Multi-family Condo/Townhouses
Commercial: Office Retail Industrial Educational Institutional
Building Cubic Foqtage: under 35,000 cu. ft. V over 35,000 cu. ft.
Sheet metal work to be completed: New Work: Renovation:
HVAC✓ Metal Roofing Kitchen Exhaust System Chimney/Vents
Provide brief description of work to be done:
1:P Gti1k,h �i �At3.. �LJC►PWCs k. RA Irl fiG S` AW 1M
I
INSURANCE COVERAGE:
I have a current liabili insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yest!] No❑
If you have checked Yes,indicate the type of coverage by checking the appropriate box below:
i
A liability insurance policy f Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the
Massachusetts General Laws,and that my signature on this permit application waives this requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
I
By checking this box hereby certify that all of the details and Information I have submitted(or entered)regarding this application are true and
accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be
in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws.
Progress Inspections
Date Comments
Final Inspection
Date Comments
Type of License:
By Master
Title
❑ Master-Restricted wo
Cityrrown ❑Journeyperson up
Signature of Licensee
Permit#
❑Journeyperson-Restricted License Number:
Fee$ ❑
Check at www.mass.novIdol
Inspector Signature of Permit Approval